| NPI | 1225250160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN094515) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1511) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-02-24 |