| NPI | 1225567431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95007083) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 192728) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 54633) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10011262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030726) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 3824-0) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-06-21 |