| NPI | 1740255181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP 1352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN091028) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-03-25 |