| NPI | 1205376860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN170822) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |