| NPI | 1730917907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WY 56125) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: WY 27049) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: WY 56125) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 56125) | |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-02-06 |