| NPI | 1659676351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP8721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201350018NP) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201350018NP) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2016-06-17 |