| NPI | 1497438196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 228149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027228) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-07-27 |