| NPI | 1699096115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN133562) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3645) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-03-13 |