| NPI | 1437471778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN135312) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2016-03-11 |