| NPI | 1477032332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN2278) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1153884) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024176494) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037006) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001755) | |
| Enumeration Date | 2018-08-11 |
| Last Update Date | 2025-05-14 |