| NPI | 1598282345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-129684) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-08-03 |