| NPI | 1811310915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-081441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10067747) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 1-081441) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 345792) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209035828) | |
| 363L00000X Nurse Practitioner (Licence: TN 21917) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2026-10-05 |