| NPI | 1811236334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A005894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9389528) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2022-03-23 |