| NPI | 1922128644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN126967) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL RN126967) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-09-11 |