| NPI | 1699289033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN123374) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10219) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2023-03-03 |