| NPI | 1093271546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 338585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020299) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2026-06-05 |