| NPI | 1053606145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP002568) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2014-02-24 |