| NPI | 1215596168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 122022) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R092472) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-11-25 |