| NPI | 1689987620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR AO3406) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR R077180) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2020-12-08 |