| NPI | 1447935556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 227185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2023046131) |
| 163W00000X Registered Nurse (Licence: NY 715960) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209034822) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-03-11 |