| NPI | 1285956904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003469) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 1618785) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2006001241) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2020-02-27 |