| NPI | 1457772295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008407) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70054553) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704424715) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2025-11-04 |