| NPI | 1669398558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 342025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN216532) |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-07-31 |