| NPI | 1215352323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP5461) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN138808) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |