| NPI | 1457761348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144979) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2024-09-03 |