| NPI | 1528883832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 55325) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 55325) |
| 202D00000X Integrative Medicine (Licence: WY 55325) | |
| 207P00000X Emergency Medicine (Licence: WY 55325) | |
| 208000000X Pediatrics (Licence: WY 55325) | |
| 363L00000X Nurse Practitioner (Licence: WY 55325) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 55325) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WY 55325) | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |