| NPI | 1518680412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 287023) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 287023) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 287023) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2026-06-12 |