| NPI | 1033690540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 124851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 2017010601) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-09-16 |