| NPI | 1770101172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253084) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: AZ RN207838) |
| Enumeration Date | 2020-07-12 |
| Last Update Date | 2021-02-04 |