| NPI | 1124387402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TEMP300128) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN142830) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2023-11-14 |