| NPI | 1548837826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 215971) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR TEMP215971) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-05-16 |