| NPI | 1285175067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP11024654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 895504) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP004343) | |
| 363L00000X Nurse Practitioner (Licence: CO C-RXN.0103387-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: UT 14246896-4405) | |
| 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-269117) | |
| 363L00000X Nurse Practitioner (Licence: NY 358515) | |
| 363L00000X Nurse Practitioner (Licence: NE 116410) | |
| 363L00000X Nurse Practitioner (Licence: NM 86088) | |
| 363L00000X Nurse Practitioner (Licence: VA 24195145) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2026-01-14 |