| NPI | 1437418621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4424) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ RN089020) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2015-08-24 |