| NPI | 1255835922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN244132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61228348) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 27838) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277002059) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 831093) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1057623) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5018576) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2026-07-03 |