| NPI | 1184033177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76468) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-01-03 |