| NPI | 1669056933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 259451) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN190022) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-06-19 |