| NPI | 1184617128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1139) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN073265) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2018-09-18 |