| NPI | 1205362738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005124) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR A005124) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-11-08 |