| NPI | 1093023970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 285830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN162683) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2026-01-08 |