| NPI | 1902315435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP10569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN123636) |
| 363L00000X Nurse Practitioner (Licence: AZ RN123636) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10569) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-09-03 |