| NPI | 1437462736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN038045) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2014-10-14 |