| NPI | 1750614194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9383088) |
| 363L00000X Nurse Practitioner (Licence: AZ RN167928) | |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2020-09-03 |