| NPI | 1265951727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95006968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 850145) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006968) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10002048) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61368235) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1105908) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024194424) | |
| 363L00000X Nurse Practitioner (Licence: NC 5020061) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 286807) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2026-02-11 |