| NPI | 1093035016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 3668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RN119341) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2025-08-07 |