| NPI | 1245977057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 281487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011774) |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2025-07-28 |