| NPI | 1306715412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 330624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95036405) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-07 |