| NPI | 1497943740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN112438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ AP2863) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2021-07-08 |