| NPI | 1649624404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25338) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704303950) |
| 363L00000X Nurse Practitioner (Licence: VA 0024187032) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10016905) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2025-04-16 |