| NPI | 1902432180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 231901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 823665) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |