| NPI | 1528033016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 5654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 5654) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 5654) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1603) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0102276) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190111) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 880672) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14077808-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29427) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2024034170) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2025-03-05 |