| NPI | 1437549961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8639) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201500688NP-PP) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-06-03 |