| NPI | 1760824189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5067) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ RN094396) |
| 163WW0000X Registered Nurse, Wound Care (Licence: AZ RN094396) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2024-06-16 |