| NPI | 1104968171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 20050063342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004382) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 24908) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-09-20 |