| NPI | 1437316288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 4373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 070610) |
| 363L00000X Nurse Practitioner (Licence: AZ 308) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-07-24 |