| NPI | 1093973232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN121200) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1709) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2018-11-01 |