| NPI | 1871168807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 261922) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN183291) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-10-31 |