| NPI | 1235372384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN104486) |
| 163W00000X Registered Nurse (Licence: OK 58129) | |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2009-04-18 |