| NPI | 1982062857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 57400) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004645) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2018-05-16 |