| NPI | 1972131050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN200002253) |
| 163W00000X Registered Nurse (Licence: MA RN2352682) | |
| 163W00000X Registered Nurse (Licence: MD R244481) | |
| 163W00000X Registered Nurse (Licence: IL 041488088) | |
| 163W00000X Registered Nurse (Licence: WA RN61169331) | |
| 163W00000X Registered Nurse (Licence: NY 831215) | |
| 163W00000X Registered Nurse (Licence: OR 202112864RN) | |
| 363L00000X Nurse Practitioner (Licence: WA ARNP.AP.61253595-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202200868NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024616) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-04-18 |