| NPI | 1427148246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3717) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 13967) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 13967) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-08-29 |