| NPI | 1700207339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR ATP-000599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R49501) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2016-03-31 |