| NPI | 1184623605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI aprn1040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN032228) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-02-23 |