| NPI | 1881252369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 235698) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AZ RN159988) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-04-24 |