| NPI | 1356777395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 221557) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R34202) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2021-09-29 |