| NPI | 1750757076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007270A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 1003990) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 28237767A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023038564) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 883653) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9497550) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 10911) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0101101-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4008679) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82580-082) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA 61654547) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 358318) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 14590-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A176453) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013163) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2025-11-20 |