| NPI | 1568688141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP3422) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN077869) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-02-19 |