| NPI | 1376996710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 228116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08913) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-04-17 |