| NPI | 1053875146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006098) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R093463) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR F01191795) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2020-09-16 |