| NPI | 1912050394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AR A01849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A01849) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-11-01 |