| NPI | 1518686062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 320575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 174693) |
| 163W00000X Registered Nurse (Licence: CA 95056932) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-03-13 |