| NPI | 1023509882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 207608-7) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033723) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14174861-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A175742) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61626466) | |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2026-04-06 |