| NPI | 1679373930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 56351) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NURAPRNLIC286824) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV APRNCNP897870) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO CAPN0106394CNP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX APRN-CNP1197502) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14260145-4405) | |
| 363L00000X Nurse Practitioner (Licence: ND APRNCNP204419) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2026-06-16 |