| NPI | 1881415123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11035690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 359149) |
| 363L00000X Nurse Practitioner (Licence: WA AP70087650) | |
| 363L00000X Nurse Practitioner (Licence: AZ 336328) | |
| Enumeration Date | 2024-10-19 |
| Last Update Date | 2026-03-18 |