| NPI | 1659020485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 214666) |
| Additional Taxonomies | 163WX1100X Registered Nurse, Ophthalmic (Licence: AR R101401) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |