| NPI | 1700151362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 244439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN172192) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 56144) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-08-13 |