| NPI | 1932457553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10282) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN130008) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-07-21 |