| NPI | 1568879906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5698) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10040749) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2025-11-21 |