| NPI | 1679756787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 2775872) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2020-09-08 |