| NPI | 1104066471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN133607) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2015-07-20 |