| NPI | 1730109877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA A01721-ANP) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2022-07-21 |