| NPI | 1871371484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 303358) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN205235) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-02-05 |