| NPI | 1962983627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0041446) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4052345) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 295775) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186448) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11044214) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2026-03-11 |