| NPI | 1730714874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARPN11006502) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ARPN11006502) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARPN11006502) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |