| NPI | 1720513658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020836) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2023-12-18 |