| NPI | 1952993925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 121741) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AR 121741) |
| 208VP0000X (Licence: AR 121741) | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-12-08 |