| NPI | 1033413125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3891) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN112199) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-11-13 |