| NPI | 1790009660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ AP3601) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: AZ TAP3601) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2022-07-21 |