| NPI | 1942643275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 229962) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 4968) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 4968) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2025-11-04 |