| NPI | 1649252438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241332) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN132098) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ RN132098) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2022-07-21 |