| NPI | 1558686402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR ATP-000260) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2015-01-12 |