| 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 | 2024-11-19 |