| NPI | 1154951150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 246662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN113889) |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2020-12-01 |