| NPI | 1326015637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11022525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA gaa-np001198) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1106474) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024144068) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3018650) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2025-11-14 |