| NPI | 1548727100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC A006129) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2020-04-21 |