| NPI | 1326392671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17083) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2021-06-04 |