| NPI | 1972006542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A005474) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AR ag01180061) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-10-24 |