| NPI | 1164076378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 252635) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0098353) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2026-08-18 |