| NPI | 1568479079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R14032) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200450012NP-ANP-PP) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN101932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM R14032) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-06-05 |