| NPI | 1891498879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 223440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0041245) |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0105930-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-002844) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2026-02-13 |