| NPI | 1326230673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3974) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 3037) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2012-11-13 |