| NPI | 1013640275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26264) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11049623) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196295) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1244682) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 4381002) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004763) | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2026-08-25 |