| NPI | 1104169895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003837) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R072933) |
| 363L00000X Nurse Practitioner (Licence: AR A003837) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2018-11-15 |