| NPI | 1083184113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 80615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103814-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61671216) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122456) | |
| Enumeration Date | 2018-12-02 |
| Last Update Date | 2025-07-22 |