| NPI | 1932879350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 215947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR 215947) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-07-24 |