| NPI | 1417051129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001685) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01685) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-12-05 |