| NPI | 1962852681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP9805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN139364) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-09-08 |