| NPI | 1164985008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011653) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: NC 5011653) |
| 363L00000X Nurse Practitioner (Licence: NC 5011654) | |
| 363L00000X Nurse Practitioner (Licence: NC 5011653) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024177837) | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-05-23 |