| NPI | 1811666795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 307652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202108976NP-PP) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-04-17 |