| NPI | 1992226716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10214) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP10214) |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2026-07-03 |