| NPI | 1245626472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 241030) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0038154) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP127994) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209025176) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100479-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001975) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4029500) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP000664) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024050269) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2025-02-04 |