| NPI | 1639298417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ RNP 2505) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AK 418) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AZ RN134507) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: AK 16903) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |