| NPI | 1992420715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 284145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN200190) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-07-30 |