| NPI | 1770007700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005284) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR A005284) |
| 207Q00000X Family Medicine (Licence: AR a005284) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-07-16 |