| NPI | 1881796852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN044028) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ ANP #91) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2012-01-04 |