| NPI | 1205342052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010098) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5010098) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 23368A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 122854) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1195981) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010098) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95033900) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 321157) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4037839) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11039381) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010098) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2025-10-10 |