| NPI | 1619297801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A03339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A003339) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2020-05-14 |