| NPI | 1487955357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN111149) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2012-01-04 |