| NPI | 1508103086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0994288-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164104) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8497) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8497) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2022-04-26 |