| NPI | 1770088445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A005566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A005566) |
| 363LF0000X Nurse Practitioner Family (Licence: LA 218902) | |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-01-03 |