| NPI | 1407139371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP4449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN116155) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2018-08-15 |