| NPI | 1881070803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR a00480) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR A004480) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-12-28 |