| NPI | 1730523721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP10388) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10389) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0990580) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2022-04-21 |