| NPI | 1588066013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN164040) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP7413) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2019-09-26 |