| NPI | 1962577023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3659) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AZ RN108688) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-07-12 |