| NPI | 1992473748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 231513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 231513) |
| 163W00000X Registered Nurse (Licence: CA 95256334) | |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2026-01-22 |