| NPI | 1609125020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA ap06913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4047164) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A187530) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002582) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025042809) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11042059) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 39880) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR TEMP235165) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024194778) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2025-11-26 |