| NPI | 1154432086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN086039) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-04-16 |