| NPI | 1609436096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 121431) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LF0000X Nurse Practitioner Family (Licence: AR F06192323) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-07-11 |