| NPI | 1831492610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137766) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2016-01-26 |