| NPI | 1336646389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 218111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ rn168620) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-03-01 |