| NPI | 1902019516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 242006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN144260) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2021-04-23 |