| NPI | 1144741133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP10314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144249) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-12-11 |