| NPI | 1770058372 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 022711)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 3-001996)  | 
| 363L00000X Nurse Practitioner (Licence: CO C-APN.0103198-C-NP)  | |
| 363L00000X Nurse Practitioner (Licence: MO 2024041200)  | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-4986)  | |
| 363L00000X Nurse Practitioner (Licence: TX 1179152)  | |
| 363L00000X Nurse Practitioner (Licence: OR 10036141)  | |
| 363L00000X Nurse Practitioner (Licence: IN 71011280A)  | |
| 363L00000X Nurse Practitioner (Licence: NC 5021477)  | |
| 363L00000X Nurse Practitioner (Licence: GA GAA-NP002830)  | |
| 363L00000X Nurse Practitioner (Licence: WA AP61627877)  | |
| 363L00000X Nurse Practitioner (Licence: FL 11036116)  | |
| 363L00000X Nurse Practitioner (Licence: TN 37387)  | |
| 363L00000X Nurse Practitioner (Licence: KY 3012728)  | |
| 363L00000X Nurse Practitioner (Licence: MS 907099)  | |
| Enumeration Date | 2018-10-10 | 
| Last Update Date | 2025-09-22 |