| NPI | 1558339259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1160) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN090822) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-10-22 |