| NPI | 1659853273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71008364A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1210335) |
| 363L00000X Nurse Practitioner (Licence: TN 41532) | |
| 363L00000X Nurse Practitioner (Licence: CT 15996) | |
| 363L00000X Nurse Practitioner (Licence: VA 24195481) | |
| 363L00000X Nurse Practitioner (Licence: KY 4051049) | |
| 363L00000X Nurse Practitioner (Licence: FL 11043824) | |
| 363L00000X Nurse Practitioner (Licence: IL 209018287) | |
| 363L00000X Nurse Practitioner (Licence: OH 0040209) | |
| 363L00000X Nurse Practitioner (Licence: IL 277001544) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2026-04-13 |