| NPI | 1285946707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3680) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ RN114205) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2013-04-19 |