| NPI | 1669502357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP1802) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN084429) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-10-25 |