| NPI | 1982071429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8101) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-01-22 |