| NPI | 1407698749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309505) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 309505) |
| 363L00000X Nurse Practitioner (Licence: AZ 309505) | |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2026-08-20 |