| NPI | 1649849498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 267546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN193479) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ F11210857) | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-01-17 |