| NPI | 1932732633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 258797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 825988) |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2025-10-23 |