| NPI | 1629843511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F01250454) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ E01250009) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2026-02-02 |