| NPI | 1518789387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP031124) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 355583) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 885340) | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-05-15 |