| NPI | 1760482574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1691) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN121750) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-01-29 |