| NPI | 1285977223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003836) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000736-C-NP) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-03-31 |