| NPI | 1912949041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP2134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131906) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-03-07 |