| NPI | 1417547746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 837305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP70031775) |
| 363L00000X Nurse Practitioner (Licence: AZ 318409) | |
| 363L00000X Nurse Practitioner (Licence: WI 16664-33) | |
| 363L00000X Nurse Practitioner (Licence: CA 95034598) | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2026-05-23 |