| NPI | 1427564483 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9356725)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61639597)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29749)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038191)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 318513)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1191336)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002076)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003298)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 320648)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4031615)  | |
| Enumeration Date | 2017-12-28 | 
| Last Update Date | 2025-09-19 |