| NPI | 1457311292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1766) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ RN102405) |
| 163W00000X Registered Nurse (Licence: AZ RN102405) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-12-21 |