| NPI | 1831604065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 079986-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN211245) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP10947) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2019-06-23 |