| NPI | 1366001844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11002620) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0100069-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 305154) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349230) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2026-03-16 |