| NPI | 1396791422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN086703/AP1839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN086703) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-05-10 |