| NPI | 1245266360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01004ANP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 330652) |
| 363L00000X Nurse Practitioner (Licence: AR A001004) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-09-10 |