| NPI | 1689149742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 023727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34388) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS 908350) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85513-022) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1230759) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A190309) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP034582) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AR TEMP236842) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5858) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11023303) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016188A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030452) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2026-04-21 |