| NPI | 1932668563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R069802) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |