| NPI | 1477115798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11002101) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194752) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10032867) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A180811) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61625508) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 314850) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2025-12-12 |