| NPI | 1144682584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704312744) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-11-03 |