| NPI | 1972575975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN104862) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN104862) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 66554) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-07-30 |