| NPI | 1568845899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004439) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2016-10-20 |