| NPI | 1851712707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 278491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1624559) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2023-03-06 |