| NPI | 1497197594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 291148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23302) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2025-10-31 |