| NPI | 1144506429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 20104) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2016-08-04 |