| NPI | 1003625997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 318838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164452) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-11-06 |