| NPI | 1386764017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2795) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ RN107405) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2017-04-10 |