| NPI | 1790462687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 293880) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ APRN-RNP) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-07-06 |