| NPI | 1689409641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 33275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9664143) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042944) | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2026-02-11 |