| NPI | 1275872848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4946) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137531) |
| Enumeration Date | 2013-02-02 |
| Last Update Date | 2019-06-24 |