| NPI | 1184628521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45469) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2016-11-07 |