| NPI | 1891476495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 300182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN176312) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-12-12 |