| NPI | 1679112106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 247179) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN192147) |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2022-08-08 |