| NPI | 1447222328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ NP290) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN097748) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-06-12 |