| NPI | 1013484187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5023528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY 32618.1822) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 174707) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61155226) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2025-12-18 |