| NPI | 1518505833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R107201) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 228040) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-07-15 |