| NPI | 1922592724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218701) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN150573) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-12-27 |