| NPI | 1578633657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP6877) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN039088) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-11-03 |