| NPI | 1336571629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250180NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201242749RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95020134) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014896) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN308282) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5233-0) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209025628) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5015817) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 78010) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 886677) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 349236) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1050279) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183263) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61223702) | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2025-09-02 |