| NPI | 1750521225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP7901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN131680) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2015-09-18 |