| NPI | 1871218768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 282837) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ Student390200000X) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-24 |