| NPI | 1114339470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014004541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10051813) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 142493974405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 70055290) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 269119) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 85265) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209011328) | |
| 163W00000X Registered Nurse (Licence: MO 2009019269) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2025-11-05 |