| NPI | 1265104095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904933) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4940) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11036441) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024046003) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5021135) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037972) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37681) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-02-05 |