| NPI | 1477142198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11012258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-125594) |
| 163W00000X Registered Nurse (Licence: AL 1-125594) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2025-02-12 |