| NPI | 1992357271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 840801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 840801) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-06-08 |