| NPI | 1760097323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 182955) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4030370) |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0137606) | |
| 363L00000X Nurse Practitioner (Licence: KS 53-83600-112) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04442) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030035) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006709) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036097) | |
| 363L00000X Nurse Practitioner (Licence: DC NP500018201) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2026-01-04 |