| NPI | 1821471624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP256830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN189383) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AZ RN189383) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2021-04-20 |