| NPI | 1477935385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R096622) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2020-12-02 |