| NPI | 1982358057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95025411) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 11432) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-234532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 13755629-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61518267) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10020750) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022002466) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 2090209517) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 218610) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 810809) | |
| 363L00000X Nurse Practitioner (Licence: NM 77749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4447-0) | |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-06-21 |