| NPI | 1578795134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R901008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003283) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2018-03-06 |