| NPI | 1952145658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 233191) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R069469) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2025-10-26 |