| NPI | 1659024743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 274602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 274602) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2025-04-08 |