| NPI | 1568900793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 122195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R053483) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019044730) | |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2021-01-17 |