| NPI | 1144395476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN039452) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP3024) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-11-15 |