| NPI | 1083324248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023299) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 356587) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 5538) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14261649) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025051510) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 283319) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2026-01-05 |