| NPI | 1407383912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017024421) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 22748) |
| 163WF0300X Registered Nurse, Flight (Licence: MO 2008003886) | |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2026-02-10 |