| NPI | 1346699188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN210716) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0003334-C-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: AZ 267260) | |
| 363LF0000X Nurse Practitioner Family (Licence: TX 1100055) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61400717) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-04-18 |