| NPI | 1235470402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029460) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2025-10-01 |