| NPI | 1609467828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP255044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN255044) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL RN9461244) | |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-03-04 |