| NPI | 1730628348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN143461) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2022-12-01 |