| NPI | 1023842952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 321226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024190729) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2025-06-05 |