| NPI | 1689941817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03615) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2018-08-06 |