| NPI | 1750391082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A003308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R33433) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-04-02 |