| NPI | 1255983334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 230343) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161549) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-08-02 |