| NPI | 1710106927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2752) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ RN106587) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2011-05-03 |