| NPI | 1780038604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 264603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004566) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2022-11-07 |