| NPI | 1275041923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R090426) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-04-20 |