| NPI | 1770960296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP7971) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7971) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2016-01-04 |