| NPI | 1164876645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8796) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 144466) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-08-01 |