| NPI | 1972850469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60290895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 225695) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A169496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025050633) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 11764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209034581) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 083890-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17571-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202203225NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0104968) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028927) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 213308) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP024101) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71017837A) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2026-03-16 |