| NPI | 1285453134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 320249) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: AZ rn172688) |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-02-14 |