| NPI | 1417324419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 223861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60291606) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-06-09 |