| NPI | 1487653242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR APN1006) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A01006) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2016-12-28 |