| NPI | 1861482739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A01770) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0079213) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2011-10-19 |