| NPI | 1811348519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21341) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902292) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A005604) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-01-30 |