| NPI | 1154957215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 239604) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202011282NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0102809-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 83752) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61688558) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2727) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: UT 13742545-4405) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-07-16 |