| NPI | 1952943235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP240004) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN139619) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TEMP240004) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-10-26 |