| NPI | 1649626409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9258602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61082877) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 24190140) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137172) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 36306) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1133303) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 351607) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4042274) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2025-06-11 |