| NPI | 1821374984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap4125) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN170718) | |
| 163W00000X Registered Nurse (Licence: AZ RN170718) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2013-04-16 |