| NPI | 1770715070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ TAP3427) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3427) |
| 163W00000X Registered Nurse (Licence: AZ RN125196) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2016-01-19 |