| NPI | 1811399876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 1001141) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 11211) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84695-042) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A186655) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 304850) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13609650-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95000646) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025029402) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1086820) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0039773) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 225868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 235350) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61622426) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17408-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10020943) | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2026-03-10 |