| NPI | 1053896902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN190002) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-09-09 |