| NPI | 1194430561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 220130) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 225299) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |