| NPI | 1841961893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 271409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1666387) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2022-02-24 |