| NPI | 1770028409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN292105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN186280) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 346180) | |
| 163W00000X Registered Nurse (Licence: NY 721119-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 246154) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11008563) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TEMP246154) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2026-08-11 |