| NPI | 1972538973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ ap2284) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: AZ AP2284) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-04-01 |