| NPI | 1699262519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131627) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-07-02 |