| NPI | 1740852078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 260606) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: AZ 101917) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2024-05-24 |