| NPI | 1639825508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 219250) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R096849) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-25 |