| NPI | 1902038961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A03275 ANP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011001819) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2021-05-12 |