| NPI | 1861868358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 88024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14873-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95035783) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70004411) | |
| 363L00000X Nurse Practitioner (Licence: OR 10050511) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN288643) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1223) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2026-06-09 |