| NPI | 1780346874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 269863) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN137398) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2024-10-23 |