| NPI | 1316255433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR AOO3924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010032728) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2014-06-11 |