| NPI | 1336344514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN039208 AP0867) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN039208 CRNA0039) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-09-11 |