| NPI | 1710496260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN225685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01020100) |
| 363L00000X Nurse Practitioner (Licence: NC 5022287) | |
| 363L00000X Nurse Practitioner (Licence: WA AP70001164) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024193777) | |
| 363L00000X Nurse Practitioner (Licence: AK 239185) | |
| 363L00000X Nurse Practitioner (Licence: FL 11040164) | |
| 363L00000X Nurse Practitioner (Licence: PA SP017913) | |
| 363L00000X Nurse Practitioner (Licence: TX 1207026) | |
| 363L00000X Nurse Practitioner (Licence: MN 13092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-5494-0) | |
| 363L00000X Nurse Practitioner (Licence: UT 14226871-4405) | |
| 363L00000X Nurse Practitioner (Licence: NY F345736) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2025-10-01 |