| NPI | 1972189975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.003740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61154896) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14329-33) | |
| 163W00000X Registered Nurse (Licence: CA 95022797) | |
| 163W00000X Registered Nurse (Licence: WA RN61154884) | |
| 163W00000X Registered Nurse (Licence: OR 201705327RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202102459NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95016976) | |
| 163W00000X Registered Nurse (Licence: IL 041.543152) | |
| 163W00000X Registered Nurse (Licence: WI 1106418-30) | |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2025-11-26 |