| NPI | 1568092708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN244644) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV TLHT123962) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 891934) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194283) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 330605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN3749) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 116891-23) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2026-03-26 |