| NPI | 1740426972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A03213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR ATP000182) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2023-08-28 |