| NPI | 1356731418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP7598) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN132176) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ FNP # F0115590) | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-02-06 |