| NPI | 1154488336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4188) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP3789) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-03-10 |