| NPI | 1427034479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN052028) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN052028) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN052028) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-10-24 |