| NPI | 1811551989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 120489) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R100141) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2021-07-08 |