| NPI | 1811531494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234491) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN184266) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2025-09-12 |