| NPI | 1144615287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015007296) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-05-28 |