| NPI | 1730433087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2920982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103895-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A184046) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196511) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002859) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1216043) | |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2026-02-25 |