| NPI | 1255807798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24654) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032659) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 275532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 16585-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 232803) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12740502-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016401A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61282727) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038207) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003561-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202211457NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 207741) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1076026) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2026-02-27 |