| NPI | 1043635394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000363) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID 69812) |
| 207Q00000X Family Medicine (Licence: VA 0024182130) | |
| 207Q00000X Family Medicine (Licence: CO 0996785-NP) | |
| 207Q00000X Family Medicine (Licence: UT 12525880-4405) | |
| 207Q00000X Family Medicine (Licence: AZ 305650) | |
| 207Q00000X Family Medicine (Licence: WA AP61300639) | |
| 207Q00000X Family Medicine (Licence: MO 2025037773) | |
| 207Q00000X Family Medicine (Licence: NM 68463) | |
| 207Q00000X Family Medicine (Licence: HI APRN-3650) | |
| 207Q00000X Family Medicine (Licence: NV 875557) | |
| 207Q00000X Family Medicine (Licence: OR 202213858NP-PP) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2025-11-04 |