| NPI | 1013563493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019033524) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-08-14 |