| NPI | 1972200038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 223080) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AR R066730) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 223080) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-06-19 |