| NPI | 1346229846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: AZ RN000099137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN-000099137) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2011-04-14 |