| NPI | 1851145122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ CNP226853) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AZ RN226853) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-07-08 |