| NPI | 1033566377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9295674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4049193) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 908033) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 226440) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10052291) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2025-12-10 |