| NPI | 1043939895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016975) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 31030A) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO F02211294) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024193963) | |
| 363L00000X Nurse Practitioner (Licence: FL 11041942) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-10-10 |