| NPI | 1790440030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012288A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1217952) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95040831) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP035795) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209035567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11042954) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 17058) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 359397) | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2026-08-18 |