| NPI | 1982142998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN182485) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2022-10-20 |