| NPI | 1336861194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 303254) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 303254) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 53367) | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-06-05 |