| NPI | 1295256378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP10119) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP10119) |
| 246QL0900X Spec/Tech, Pathology, Laboratory Management (Licence: AZ 03D2301307) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-10-30 |