| NPI | 1720531254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019903) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1097942) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 29954) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37116) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5021764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 3-002181) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209030510) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP031928) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024257) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71016306A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4028977) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2025-03-13 |