| NPI | 1730796426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 28709) |
| 363L00000X Nurse Practitioner (Licence: TX 1108483) | |
| 363L00000X Nurse Practitioner (Licence: AZ 290132) | |
| 363L00000X Nurse Practitioner (Licence: NC 5019875) | |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036090) | |
| Enumeration Date | 2020-09-26 |
| Last Update Date | 2024-10-15 |