| NPI | 1366885063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-100065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041573263) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 228029) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 234973) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 35997) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 905918) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3014143) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 351823) | |
| 163W00000X Registered Nurse (Licence: MN 2524943) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025269) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2026-04-28 |