| NPI | 1649581620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN 133632) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2011-03-22 |