| NPI | 1659051621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002972) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103961-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197417) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 231532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 5920) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A190652) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA APTP.N3.70128426) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2026-05-12 |