| NPI | 1326049974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP0701) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN103599) |
| 163W00000X Registered Nurse (Licence: AZ RN103599) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ AP0701) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2013-05-24 |