| NPI | 1194084616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8474) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN520256) |
| 363L00000X Nurse Practitioner (Licence: AZ F1115274) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2022-07-21 |