| NPI | 1366892614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 95035715) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 193993) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP141948) | |
| 207Q00000X Family Medicine (Licence: HI APRN-3745) | |
| 207Q00000X Family Medicine (Licence: MT 194534) | |
| 363L00000X Nurse Practitioner (Licence: TX AP141948) | |
| 207Q00000X Family Medicine (Licence: WA AP61298714) | |
| 207Q00000X Family Medicine (Licence: OR 202215510NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNS0460) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 83276-0) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2025-12-03 |