| NPI | 1316243447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011003374) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2017-02-22 |