| NPI | 1760922371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 329691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9488439) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP017235) | |
| 163W00000X Registered Nurse (Licence: FL RN9488439) | |
| 163W00000X Registered Nurse (Licence: PA RN691406) | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2025-09-26 |