| NPI | 1659928398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP005151) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 31309) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11038522) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024192796) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 17311) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP035890) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277003081) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 200292) | |
| 363L00000X Nurse Practitioner (Licence: NC 5017966) | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2026-05-27 |