| NPI | 1689000747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A003921) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2022-07-21 |