| NPI | 1679019178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A171929) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN161887) |
| 363L00000X Nurse Practitioner (Licence: AZ AP9643) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2023-12-19 |