| NPI | 1467983882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP9872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183693) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-10-27 |