| NPI | 1508341454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 229403) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN183238) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-12-03 |