| NPI | 1467877340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR A004246) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2014003272) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2024-09-18 |