| NPI | 1073745873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR S002242) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR S02242) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-02-13 |