| NPI | 1619956083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN-049454) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-291249) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2026-07-22 |