| NPI | 1235780537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN1104137) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004137) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95032302) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012953) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002744) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704419626) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 12081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024036920) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 906963) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115636) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 112472-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 882352) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10031127) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP031773) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1177677) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2025-01-31 |