| NPI | 1174057376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R095319) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-09-25 |