| NPI | 1629230529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2968) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN146193) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-12-04 |