| NPI | 1568422970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001447a)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 225280)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0003867)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA a1680d4)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 21924)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704386882)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 224719)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 72115)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31449)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114139)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 49598)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 852004)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1085417)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002229)  | |
| 363L00000X Nurse Practitioner (Licence: IN 71001447A)  | |
| Enumeration Date | 2006-03-28 | 
| Last Update Date | 2025-10-13 |