| NPI | 1821419490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5460) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 217214-4405) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2016-06-14 |