| NPI | 1528570819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 107623) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-05-13 |