| NPI | 1134346752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3589) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: AZ RN129818) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-05-13 |