| NPI | 1538817325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 229467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020227) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2024-08-13 |