| NPI | 1750720868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP5020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5019) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |