| NPI | 1144541814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN071886) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |