| NPI | 1487255410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 255036) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183717) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2025-11-20 |