| NPI | 1558735845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024281) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004510) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2020-09-17 |