| NPI | 1194446617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F04220494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 193326) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2026-05-21 |