| NPI | 1720392053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 241163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN081026) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-01-27 |