| NPI | 1306084447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R65693) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2018-04-12 |