| NPI | 1457937674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 218799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 29247) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-04-22 |