| NPI | 1245176973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 340961) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ RN176887) |
| Enumeration Date | 2026-04-27 |
| Last Update Date | 2026-07-09 |