| NPI | 1689667883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2138) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN063885) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2017-07-24 |