| NPI | 1407136435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 175562) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2022-07-21 |