| NPI | 1992456099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN203435) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-09-05 |