| NPI | 1083129779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9346831) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209033366) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 321381) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1179335) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A184000) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115906) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2025-10-02 |