| NPI | 1346430907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP2807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN 103680) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2011-11-15 |