| NPI | 1629676614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71016115A) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37249) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5021473) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4034123) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1160135) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29835) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61615302) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0036132) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10036359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030526) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001941) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 307054) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102124-C-NP) | |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2025-09-22 |