| NPI | 1396069126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 221053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 146735) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2025-12-23 |