| NPI | 1003699661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001528) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71015431A) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024030450) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 229320) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11033675) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15159700) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036590) | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-10-16 |