| NPI | 1659153732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 300210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN127977) |
| 363L00000X Nurse Practitioner (Licence: AZ 300210) | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-04-12 |