| NPI | 1780091470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7359) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 342997) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1020809) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2026-03-19 |