| NPI | 1003375825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223100) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020262) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP70034986) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95034838) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0004395) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 346264) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10014312) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 862214) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 225873) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-06-04 |