| NPI | 1104377506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN138725) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9010) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2024-08-12 |