| NPI | 1235493297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN076277) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2017-03-17 |