| NPI | 1932861366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 270797) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211377) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2023-05-03 |