| NPI | 1760878508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A004408) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A004408) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-12-08 |