| NPI | 1093955817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 219) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN073352) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2014-05-21 |