| NPI | 1902080757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP2922) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN129410) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2023-10-31 |