| NPI | 1104104090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014001226) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A03569) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2024-11-18 |