| NPI | 1194074179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4673) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP4673) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AZ RN159911) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-04-25 |