| NPI | 1295365724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 232633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022035597) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2026-02-25 |