| NPI | 1760959811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000009) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036185) |
| 363L00000X Nurse Practitioner (Licence: NC 5014811) | |
| 363L00000X Nurse Practitioner (Licence: TX 1020375) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-001005) | |
| 363L00000X Nurse Practitioner (Licence: SC 24690) | |
| 363L00000X Nurse Practitioner (Licence: TN 36316) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2024-06-14 |