| NPI | 1215183322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM R48428) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2016-02-24 |