| NPI | 1023489242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 212588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R081461) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2022-09-13 |