| NPI | 1386763019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3319) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: AZ RN132845) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-05-14 |