| NPI | 1750961785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 214692) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021004782) |
| 163W00000X Registered Nurse (Licence: AR R072762) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-08-05 |