| NPI | 1407833239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 2038) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP6044) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-03-07 |