| NPI | 1467708800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201403239NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN115753) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4590) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2021-10-13 |