| NPI | 1669586301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3782) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AZ RN101204) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-12-16 |