| NPI | 1548389752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004426) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009232) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201505322NP-PP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP151106) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18795) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 99063696A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 124312) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 02529) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH CoA.14296-NP) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-07-26 |