| NPI | 1417908112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP0646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 054521) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2023-08-22 |