| NPI | 1679721476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP3099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5261) |
| 163W00000X Registered Nurse (Licence: AZ RN067140) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2014-10-10 |