| NPI | 1639565369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 255815) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-4471-0) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP002964) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0033487) | |
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0101077-C-NP) | |
| 363L00000X Nurse Practitioner (Licence: SC 28384) | |
| 363L00000X Nurse Practitioner (Licence: AR 231009) | |
| 363L00000X Nurse Practitioner (Licence: OR 10008666) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61616333) | |
| 363L00000X Nurse Practitioner (Licence: MS 907127) | |
| 363L00000X Nurse Practitioner (Licence: TX AP127926) | |
| 363L00000X Nurse Practitioner (Licence: FL APRN11039154) | |
| 363L00000X Nurse Practitioner (Licence: NC 5019679) | |
| 363L00000X Nurse Practitioner (Licence: TN 34581) | |
| 363L00000X Nurse Practitioner (Licence: IL 209029033) | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2025-09-22 |