| NPI | 1801972880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R46608) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-06-23 |