| NPI | 1962916775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP10846) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: AZ RN161250) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-19 |