| NPI | 1649291766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0464) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN026496) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-01-16 |