| NPI | 1760537294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP0206) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ RN062390) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-09-10 |