| NPI | 1386333805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 290958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 866790) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-04-22 |