| NPI | 1447804752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F03190439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024193943) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-003110) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209035995) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI 5940) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP036433) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11049689) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2026036722) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 908619) | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2026-08-05 |