| NPI | 1619477403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN157264) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-08-25 |