| NPI | 1467787861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN053220) |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2013-10-24 |