| NPI | 1487615803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN106639) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-12-21 |