| NPI | 1134632334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61182743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019187) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10036300) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11019966) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 5171749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 16890-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP027481) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007707A) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2025-09-30 |