| NPI | 1386637593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP1806) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN123535) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2021-04-09 |