| NPI | 1619359171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 212861) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 212861) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2015019788) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 212861) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-09-11 |