| NPI | 1144794827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R099467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 225540) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2023-07-14 |