| NPI | 1215937883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA SP008353) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2016-10-25 |