| NPI | 1598391393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95030287) |
| 163W00000X Registered Nurse (Licence: AZ RN181447) | |
| 163W00000X Registered Nurse (Licence: WA RN60691817) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2021-03-31 |