| NPI | 1639044407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 332480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN153182) |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-12-09 |