| NPI | 1093021826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A003418) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03418 ANP) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2016-02-25 |