| NPI | 1801513072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 286769) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN170125) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2024-10-31 |