| NPI | 1669140919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234633) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 234633) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2026-06-19 |