| NPI | 1104358381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95014633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 274055) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3597) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 2022204062NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002187) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61279653) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 871637) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020565) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 191398) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 67431) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 9345) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 123456789) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2026-09-22 |