| NPI | 1538729116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR 120494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R102220) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: AR 120494) | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2023-11-27 |