| NPI | 1285744177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN114825) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN114825) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-16 |