| NPI | 1871592147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1258) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN087497) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN087497) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-04-08 |