| NPI | 1942625447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014001971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR ATP-000627) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2023-01-18 |