| NPI | 1295235331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A005997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902479) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2021-07-14 |