| NPI | 1295311280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 214844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR R096117) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-06-21 |