| NPI | 1659355675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1236) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ RN027294) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN027294) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN 027294) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2013-05-16 |