| NPI | 1841010824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 322471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 9281820-4405) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-07-16 |