| NPI | 1558481986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3400) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ 074771) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-09-07 |