| NPI | 1013931047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2227) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN134416) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2014-07-09 |