| NPI | 1124467873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN226373) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003988-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022004) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 859717) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 275235) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1077124) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183847) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61282579) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 17359) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2025-05-04 |