| NPI | 1578166237 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 250100) | 
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 250100) | 
| Enumeration Date | 2020-11-17 | 
| Last Update Date | 2025-06-25 |