| NPI | 1528823259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 306564) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN170486) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-25 |