| NPI | 1194724732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ Ap1152) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN054780) |
| 163W00000X Registered Nurse (Licence: AZ RN054780) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-12-21 |