| NPI | 1194323410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN174257) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-11-30 |