| NPI | 1043465206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP3208) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 208000000X Pediatrics (Licence: AZ AP3208) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: AZ AP3208) | |
| 405300000X Prevention Professional (Licence: AZ AP3208) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2019-06-24 |