| NPI | 1770506263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP4155) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV apn00422) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-05-31 |