| NPI | 1164262143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 242662) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 226697) |
| 363L00000X Nurse Practitioner (Licence: WA AP70076995) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0105672-C-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 10054174) | |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-02-02 |