| NPI | 1124744396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291628) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 291628) |
| 163WX0800X Registered Nurse, Orthopedic (Licence: AZ RN210369) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 291628) | |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2026-06-13 |