| NPI | 1629306121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9191074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A193651) |
| 363L00000X Nurse Practitioner (Licence: VA 0024198945) | |
| 363L00000X Nurse Practitioner (Licence: KY 4062985) | |
| 363L00000X Nurse Practitioner (Licence: MO 2026045565) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0107710-C-NP) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2026-09-30 |