| NPI | 1982461372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 305865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029215) |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2025-04-21 |