| NPI | 1326169657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN093850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2615) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-04-30 |