| NPI | 1811320328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP11626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9296145) |
| 163WE0003X Registered Nurse Emergency (Licence: AZ RN177263) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-08-21 |