| NPI | 1124360573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN102042) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2015-07-20 |