| NPI | 1780368886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1221027) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5811) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10058453) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027468) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2026-04-10 |