| NPI | 1053612598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 332424) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: AZ RN1107752) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2026-02-12 |