| NPI | 1154932655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AR A005887) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A005887) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-09-29 |