| NPI | 1437520525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 221821) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9231080) |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: AZ 221821) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2021-02-22 |