| NPI | 1003524679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 328855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2371836) |
| 163W00000X Registered Nurse (Licence: RI RN78352) | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2025-11-07 |