| NPI | 1477586345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 5594) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A001793) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 851645) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-11-16 |