| NPI | 1134148463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ RN148011) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP2935) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-09-08 |