| NPI | 1811919806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN069170) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ AP1855) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1855) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2015-11-03 |