| NPI | 1164086559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 222001) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R69806) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2022-11-06 |