| NPI | 1477960920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006200) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 114069) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2019-11-27 |