| NPI | 1295093391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 234445) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP048164) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN239747) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-04-28 |