| NPI | 1447892278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 355662) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61205109) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184555) | |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2025-04-29 |