| NPI | 1013369404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 004812) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004812) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004812) | |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2019-10-01 |