| NPI | 1417391426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011984A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10596-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1031963) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209022527) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704433479) | |
| 164W00000X Licensed Practical Nurse (Licence: WI 314813-31) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 243043) | |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2025-10-13 |