| NPI | 1346430683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3301) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 2002904408) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2015-03-23 |