| NPI | 1407311038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 120818) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 202591) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-05-20 |