| NPI | 1942749833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APRN002284) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201700495NP-PP) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704368601) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024180915) | |
| 363L00000X Nurse Practitioner (Licence: MN 10348) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN002284) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2026-04-26 |