| NPI | 1114165073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3187) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN098573) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2016-11-22 |