| NPI | 1598034936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 66769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN139756) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 262963) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2024-06-08 |