| NPI | 1124726849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5381938021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016426A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A183273) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.033146) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 12775) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023003916) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0039285) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115939) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2025-10-06 |