| NPI | 1528787074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A168795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ARNP.AP.70163396-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1247299) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 117154) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2026-09-10 |