| NPI | 1235641382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10733) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 203390) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2026-03-02 |