| NPI | 1750318796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A001618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01618) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2023-05-17 |