| NPI | 1558866939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9269734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102864-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 314596) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4027055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003243) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704416833) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1178377) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2025-12-03 |