| NPI | 1629406640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN046554) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP0453) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2017-02-28 |