| NPI | 1366616344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS A810661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001192) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A189664) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704395860) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024072) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023138) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 207560) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP004026) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025001424) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 222227) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 30975) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 13403) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034404) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0013403) | |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2026-03-03 |