| NPI | 1053000182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-169041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11039947) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025054147) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1214126) | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2026-02-26 |