| NPI | 1124335666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131378) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2019-07-04 |