| NPI | 1457993677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4054773) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 342372) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10048819) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2026-09-03 |