| NPI | 1437344793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2805) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN110039) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2020-09-09 |