| NPI | 1689459224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 221070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 221070) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-09-26 |