| NPI | 1467896886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17578) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-04-14 |