| NPI | 1992359467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11040840) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000308) |
| 163W00000X Registered Nurse (Licence: CO RN.1697208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 197549) | |
| 163W00000X Registered Nurse (Licence: AK NURR29760) | |
| 163W00000X Registered Nurse (Licence: FL RN9650909) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-09-10 |