| NPI | 1609416163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 235667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN169690) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-04-21 |