| NPI | 1821303025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5225) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5225) |
| 163W00000X Registered Nurse (Licence: AZ RN054449) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2020-03-27 |