| NPI | 1033547682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN205428) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18535) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95037122) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11041503) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP036010) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 332254) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1216964) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 16641) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 358150) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 125938) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197122) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 88994) | |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2026-05-18 |