| NPI | 1356715304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95034248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5827) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4054456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0041791) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013356) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179220) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14276152-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002944) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038312) | |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2026-03-26 |