| NPI | 1396049789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0298) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AZ RN063356) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2015-04-14 |