| NPI | 1255173134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 221248) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: AZ 221248) |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2025-02-01 |