| NPI | 1609268598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162102) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2017-02-19 |