| NPI | 1972826436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001190377) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2013-03-19 |