| NPI | 1497947717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS R871604) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA APO5313) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201809506RN) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012467) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2025-11-03 |