| NPI | 1528208485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3308) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000162425) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 75384) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2011-07-01 |