| NPI | 1801163563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003608) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A03608) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2017-02-22 |