| NPI | 1902632144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: AZ 255765) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 255765) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |