| NPI | 1558399402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN049228) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ rn049228) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |