| NPI | 1669883112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001988) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT aprn-193416) |
| 207Q00000X Family Medicine (Licence: OR 202214276np-pp) | |
| 207Q00000X Family Medicine (Licence: HI aprn-3593) | |
| 207Q00000X Family Medicine (Licence: NM 67376) | |
| 207Q00000X Family Medicine (Licence: AZ 274022) | |
| 207Q00000X Family Medicine (Licence: CA 95023590) | |
| 207Q00000X Family Medicine (Licence: AK 191815) | |
| 207Q00000X Family Medicine (Licence: WA ap61282106) | |
| 207Q00000X Family Medicine (Licence: MO 2024043478) | |
| 207Q00000X Family Medicine (Licence: TX 1177580) | |
| 207Q00000X Family Medicine (Licence: MN 9225) | |
| 207Q00000X Family Medicine (Licence: IN 71016045a) | |
| 207Q00000X Family Medicine (Licence: NV 883859) | |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2025-10-13 |