| NPI | 1306304845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 229447) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 824551) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140383) | |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2026-03-12 |