| NPI | 1942220108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 266797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 600) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-03-16 |