| NPI | 1093602633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F06250240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RNP325509) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |