| NPI | 1851466890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN322802) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15665) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2025-10-10 |