| NPI | 1891191417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 336061) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10056704) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 897357) | |
| Enumeration Date | 2014-11-09 |
| Last Update Date | 2026-03-25 |