| NPI | 1497742480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 1629122) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-12-27 |