| NPI | 1417287822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3537) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1633) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2022-05-13 |