| NPI | 1477955995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 875224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 352506) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704432770) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1047729) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 69717) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013113) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0040159) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 12425958-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A165174) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 113886) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11919-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 205688) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 086340-23) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18746) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004047) | |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2025-10-14 |