| NPI | 1760038855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 231200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174397) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-06-27 |