| NPI | 1073499307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ TEMP338183) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194261) |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2026-07-31 |