| NPI | 1538117171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01738) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 20020220211) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-10-16 |