| NPI | 1700534401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 10393) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11044702) |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP004502) | |
| 363L00000X Nurse Practitioner (Licence: SC 31411) | |
| 363L00000X Nurse Practitioner (Licence: TN 40872) | |
| 363L00000X Nurse Practitioner (Licence: PA SP035137) | |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2026-02-19 |