| NPI | 1629075643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ FNP-AP1424) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: AZ RN054523) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-01-12 |