| NPI | 1033582036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7966) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN148228) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7966) | |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-09-09 |