| NPI | 1891337275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 122372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 122372) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-10-13 |