| NPI | 1063478063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN093694) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN093964) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-08-16 |