| NPI | 1669868873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004370) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2017-03-21 |