| NPI | 1023495801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9303822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 15750-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27349) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95030777) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114760) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A160390) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-10-02 |