| NPI | 1235553611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 124060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014003649) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2024-08-20 |