| NPI | 1376080390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017002511) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 285488) |
| 207Q00000X Family Medicine (Licence: HI 105941) | |
| 207Q00000X Family Medicine (Licence: MT APRN-193542) | |
| 207Q00000X Family Medicine (Licence: NM 67486) | |
| 207Q00000X Family Medicine (Licence: WA AP61294064) | |
| 207Q00000X Family Medicine (Licence: IL 277002400) | |
| 207Q00000X Family Medicine (Licence: AK 191607) | |
| 207Q00000X Family Medicine (Licence: MN 9233) | |
| 207Q00000X Family Medicine (Licence: OR 10001812) | |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2025-10-11 |