| NPI | 1801939558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A001040) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 015886) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR A01040) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-05-14 |