| NPI | 1326404799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN194263) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2019-01-31 |