| NPI | 1861512105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A002998) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR ATP000061) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-11-02 |