| NPI | 1174506547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN106333) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-09-08 |