| NPI | 1760260186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 226035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023027187) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-10-09 |