| NPI | 1396706180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01310) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01310 ANP) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2012-06-27 |