| NPI | 1659107001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 308443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN197249) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |