| NPI | 1275246225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 222383) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 222383) |
| 207R00000X Internal Medicine (Licence: AR 222383) | |
| 208D00000X General Practice (Licence: AR 222383) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 222383) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AR 222383) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 222383) | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-02-07 |