| NPI | 1285386177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11017612) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 10038193) |
| 363L00000X Nurse Practitioner (Licence: SC 29755) | |
| 363L00000X Nurse Practitioner (Licence: KY 4031864) | |
| 363L00000X Nurse Practitioner (Licence: OH 0038032) | |
| 363L00000X Nurse Practitioner (Licence: AZ 319094) | |
| 363L00000X Nurse Practitioner (Licence: CO C-RXN.0102392-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61637861) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-001986) | |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP002986) | |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2025-09-22 |