| NPI | 1255458964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RNA143062) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-01-23 |