| NPI | 1891756433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ NP188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN056121) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2010-06-02 |