| NPI | 1316320765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9329441) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95040091) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5024608) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA NPPA076481) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0104186-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 252256) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2026-07-01 |