| NPI | 1215331996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004221) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004221) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2025-06-30 |