| NPI | 1952397804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP0274) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN054751) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2016-02-02 |