| NPI | 1447560321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 3756) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 132854) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2012-07-12 |