| NPI | 1083771893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN070019) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-12-23 |