| NPI | 1821471855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 239949) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A004469) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10027867) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2025-05-22 |