| NPI | 1679976799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN196178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 266107) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 865209) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024197532) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1041737) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 1013681A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209029534) | |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 14292851-4405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4000104) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018296) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.00534-C) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704401985) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2026-08-07 |