| NPI | 1184652075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ AZ1390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1204) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-11-29 |