| NPI | 1962007237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 250553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ TEMP250553) |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2021-01-14 |