| NPI | 1831578129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A004822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN627585) |
| 163W00000X Registered Nurse (Licence: AR R101549) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP015620) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-08-25 |