| NPI | 1790989408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01877 ANP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1656962) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2010-08-17 |