| NPI | 1023777141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 245481) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194676) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704436863) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 39925) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0105284-CNP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14885-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.031822) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14263355) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004110) | |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2026-08-19 |