| NPI | 1730990615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 320698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 850193) |
| 163W00000X Registered Nurse (Licence: OR 202207460RN) | |
| 163W00000X Registered Nurse (Licence: AZ RN185295) | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-02-28 |