| NPI | 1457990913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ TEMP236654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F11190566) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-24 |