| NPI | 1821503111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10010881) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95026940) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9181104) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1160779) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137529) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2025-04-21 |