| NPI | 1770836843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9466615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN285474) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003370) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3007685) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F355359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15224600) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 120493) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 13605) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1588133) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 22551) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0037694) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5020085) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190029) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA 068139) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 200914) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2025-10-21 |