| NPI | 1558737874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015028835) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71017603A) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044193) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84874-091) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10054319) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2026-01-07 |