| NPI | 1326768540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 201869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 281957) |
| 163W00000X Registered Nurse (Licence: ND 201869) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-02-14 |