| NPI | 1740264027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A01121ANP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 168357) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2010-04-15 |