| NPI | 1700120631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704407572) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 281982) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2374731) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3433) | |
| 163W00000X Registered Nurse (Licence: CA 731887) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 15217) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0031899) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 344209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN248) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03398) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1051894) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10000906) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 832453) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018227) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-10-14 |