| NPI | 1811319783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 102073) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2016-12-26 |