| NPI | 1750793055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005553) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R089020) |
| 363L00000X Nurse Practitioner (Licence: AR A005553) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-11-14 |