| NPI | 1801413471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95014425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1194223) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000613-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 866638) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10041390) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 356388) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14158069-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704430527) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-09-29 |