| NPI | 1518326230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-121385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004424) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-07-23 |