| NPI | 1013739523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 319342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 12084675-4405) |
| Enumeration Date | 2024-10-26 |
| Last Update Date | 2025-02-04 |