| NPI | 1760860183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 241380) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: AZ RN170307) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2021-09-07 |