| NPI | 1790397396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ F02230742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 219420) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-02-20 |