| NPI | 1275596371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ RN062815) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 0614) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-07-24 |