| NPI | 1376522193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1336) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN073400) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-01-17 |