| NPI | 1467405167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ RN066855) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 066855) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-06 |