| NPI | 1578758033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7780) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN0066816) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN066816) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-07-28 |