| NPI | 1629896147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 314999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164067) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-21 |