| NPI | 1407388267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22438) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2021-04-06 |