| NPI | 1760603252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11011471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP3337) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ RN157181) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-09-17 |