| NPI | 1275050270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 259934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R62860) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03361) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2021-08-30 |