| NPI | 1649744244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A006071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R101711) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-01-13 |