| NPI | 1336821305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 314364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F07231318) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2025-08-19 |