| NPI | 1932156551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 200646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704431628) |
| 363L00000X Nurse Practitioner (Licence: WA AP60814170) | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-07-22 |