| NPI | 1306471644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 256708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 183839-30) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2026-06-30 |