| NPI | 1568934743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000798) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9229003) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH CNP0037777) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN10009579) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 83671) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36350) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 313744) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1154882) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A180542) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015510A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN10009579) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9229003) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11000798) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: VA 0024190220) | |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-12-30 |