| NPI | 1922823897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 307857) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 1156698) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032095) | |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |