| NPI | 1033647144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 253724) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2017015826) |
| 207Q00000X Family Medicine (Licence: MT APRN-213691) | |
| 207Q00000X Family Medicine (Licence: HI APRN-4030) | |
| 207Q00000X Family Medicine (Licence: OR 10022091) | |
| 207Q00000X Family Medicine (Licence: AK 207307) | |
| 207Q00000X Family Medicine (Licence: MN 11227) | |
| 207Q00000X Family Medicine (Licence: UT 13280148-4) | |
| 207Q00000X Family Medicine (Licence: IL 209027284) | |
| 207Q00000X Family Medicine (Licence: CA 95025330) | |
| 207Q00000X Family Medicine (Licence: NM 72170) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2025-11-11 |