| NPI | 1417529553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 216187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 21784331) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-05-23 |