| NPI | 1891996013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP0271) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ RN076721) |
| 163W00000X Registered Nurse (Licence: AZ RN076721) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-06-19 |