| NPI | 1821570094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP11708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN216885) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2022-07-26 |