| NPI | 1043353436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN116223) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-09-03 |