| NPI | 1386146595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005612) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018000584) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2021-07-20 |