| NPI | 1740064401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 326352) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 14371-33) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2026-05-01 |