| NPI | 1679231443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906921) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61241173) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001160) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032702) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-12-06 |