| NPI | 1265851927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP5458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN139069) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-05-13 |