| NPI | 1265781876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 16876) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-09-17 |