| NPI | 1922644012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 235003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN201036) |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2022-03-23 |