| NPI | 1316314420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ AP7873) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7873) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2020-11-30 |