| NPI | 1831589720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0000371) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2023-03-22 |