| NPI | 1710685664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 291678) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN216093) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2025-08-31 |