| NPI | 1487080461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2006019218) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2018-03-17 |