| NPI | 1770933780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN140989) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2017-02-24 |