| NPI | 1497435812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027592) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 0041534) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1227086) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5023901) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0105846-C-NP) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-03-05 |