| NPI | 1487221537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 216223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R104399) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-11-08 |