| NPI | 1700385473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN23830) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023080) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0038345) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11037338) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002157) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1189348) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2025-10-01 |