| NPI | 1952470502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ 042457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 042457) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |