| NPI | 1518349950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 865804) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004430) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2018-08-27 |