| NPI | 1447479886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ RN071294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0147) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2009-07-30 |