| NPI | 1982491510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 328942) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 126596034405) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-09-26 |