| NPI | 1285817122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN148475) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2019-01-03 |