| NPI | 1154407666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 256272) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN134731) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-01 |