| NPI | 1336779305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 123431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020040255) |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2022-12-19 |