| NPI | 1992797344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN068054 AP2253) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN068054 AP0228) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2007-07-08 |