| NPI | 1174828842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP0214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN073500) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |